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Individual

MRS. DIANA KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1712 MOSAIC FOREST DR, SEFFNER, FL 33584-5568
(813) 505-9519
Mailing address
1712 MOSAIC FOREST DR, SEFFNER, FL 33584-5568
(813) 505-9519

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9192144
FL

Other

Enumeration date
07/12/2011
Last updated
07/12/2011
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